Deborah Benenson, CNM
Individual provider Active NPI Advanced Practice Midwife · Santa Fe, NM
NPI 1104014604 · NPPES record last updated Oct 9, 2007
Key facts
- NPI
- 1104014604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Advanced Practice Midwife 367A00000X
- License
- 327 (NM)
- Practice address
- 1691 Galisteo St
Suite D
Santa Fe, NM 87505-4780 - Phone
- (505) 984-2300
- Fax
- (505) 988-1940
- NPI assigned
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barbara S Van Eeckhout,M.D.,P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 327 | NM | Yes |
Addresses
Primary practice location
1691 Galisteo St
Suite D
Santa Fe, NM 87505-4780
Mailing address
1691 Galisteo St
Suite D
Santa Fe, NM 87505-4780
Phone (505) 984-2300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46813 | Medicaid | NM |
Other providers in Santa Fe, NM
- Felisha Benavidez
- Felix Benavidez
- Shantel Benavidez
- Eric V Bendixen
- Kathleen Benecke
- Kimberly M Benigsohn
- Nancy Benigsohn
- Whitney Bennett-Clear
- Kelly Randolph Bennett
- Robert John Benon
All providers in Santa Fe, NM · Advanced Practice Midwife in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.